Iodine status of Turkish pregnant women and their offspring: A national cross-sectional survey.
Özet
Abstract
Background: This national cross-sectional survey aimed to assess the iodine status in pregnant women and their offspring, and also to demonstrate regional differences by measuring urinary iodine concentration (UIC). For each woman and her newborn a questionnaire was prepared with basic facts as age, parity number or birth weight and additional information regarding thyroid diseases, use of iodized salt in the household, extra iodine supplementation during pregnancy, education level and wage income.
Methods: The target population represented 1444 pregnant women who gave birth between January 1 st, 2018 and 2019, and their offspring. Iodine deficiency for pregnant women and their offspring were defined as urine iodine level <150 μg/L and <100 μg/L, respectively. Results are given as median (25th-75th percentile).
Results: The median UIC in the group of pregnant woman was 94 (52-153) μg/L. Within the sample of 1444 pregnant women, UIC indicative of mild iodine deficiency (100-149 μg/L) was present in 21 % (n = 306), moderate deficiency (50-99 μg/L) in 30 % (n = 430), and severe deficiency (<50 μg/L) in 23 % (n = 337). This study showed a prevalence of 74 % of iodine deficiency in Turkish pregnant woman. The median UIC in the group of offspring was 96 (41-191) μg/L. Within the new-borns, UIC indicative of mild iodine deficiency (50-99 μg/L) was present in 22 % (n = 323), moderate deficiency (20-49 μg/L) in 15 % (n = 222), and severe deficiency (<20 μg/L) in 13 % (n = 192). This survey showed a prevalence of 51 % of iodine deficiency in Turkish new-borns. Pregnant women with lower socioeconomic and education level, lower access to household iodized salt, lower rates of exposure to povidone-iodine containing skin disinfectant, higher parity and higher iodine deficiency had higher rates of iodine deficiency in their offspring. Regional differences were observed both in mothers and their offspring concerning their iodine status.
Conclusions: Our findings suggest that iodine deficiency is still an important public health problem in Turkey. More drastic measures should be taken to decrease these important iodine deficiencies, both in pregnant women and in their offspring.
Atıf için künye
Vural, M., Koc, E., Evliyaoglu, O., Acar, H. C., Aydin, A. F., Kucukgergin, C., Apaydin, G., Erginoz, E., Babazade, X., Sharifova, S., Perk, Y., Satar, M., Buyukkurt, S., Simsek, H., Eroglu, C., Yetkinel, S., Saygili Karagol, B., Karasahin, K. E., Celik, H. T., … Tunc, T. (2021). Iodine status of Turkish pregnant women and their offspring: A national cross-sectional survey. JOURNAL OF TRACE ELEMENTS IN MEDICINE AND BIOLOGY, 63(63), 126664. https://doi.org/10.1016/j.jtemb.2020.126664
BibTeX
@article{vural2021-224051,
author = {Vural, Mehmet and Koc, Esin and Evliyaoglu, Olcay and Acar, Hazal Cansu and Aydin, Abdurrahman Fatih and Kucukgergin, Canan and Apaydin, Gozde and Erginoz, Ethem and Babazade, Xanim and Sharifova, Sabina and Perk, Yildiz and Satar, M and Buyukkurt, S and Simsek, H and Eroglu, C and Yetkinel, S and Saygili Karagol, B and Karasahin, K E and Celik, H T and Beksac, M S and Tanacan, A and Ecevit, A N and Tugcu, A U and Soylemez, F and Okulu, E and Onal, E E and Oygur, N and Kumru, S and Kaynak Turkmen, M and Turan, O D and Cizmeci, M N and Guney Varal, I and Dogan, P and Korkmazer, E and Arayici, S and Cetin, H and Cirali, C and Ozdemir, O M A and Ertugrul, S and Yolbas, I and Findik, M F and Acunas, B and Varol, G F and Taskin, E and Aydin, M and Caglar, A and Tekgündüz, Kadir Şerafettin and Kara, Mustafa and Tekin, N and Velipasaoglu, M and Sarikabadayi, Y U and Abbasoglu, A and Basar, D and El, C and Dolapcioglu, K and Cetin, H and Turhan, A H and Desteli, G and Uslu, S and Koc Bebek, A and Topcuoglu, S and Aksoy Okan, M and Eroglu, M and Erener Ercan, T and Celik, A and Kaya Narter, F and Sancak, S and Cetinkaya, M and Seckin, K D and Gursoy, T and Celik, E and Coban, A and Aygun, E and Bayraktar, B and Kilicoglu Dane, P B and Bozdag, S and Durankus, F and Ozdemir, H and Guclu, M and Hamilcikan, S and Kovalak, E E and Gundogdu, S and Ciler Erden, E and Yilmaz, A and Ataoglu, N and Ataoglu, E and Oguz, D and Oncel, M Y and Koyuncu Arslan, M and Akar, M and Olukman, O and Ozer, I and Aydin, C and Ozturk, A and Unal, M and Ozudogru, S E and Aliefendioglu, D and Guzoglu, N and Arisoy, A E and Senel, Y and Altunhan, H and Yilmaz, F H and Konak, M and Ozdemir, R and Turgut, H and Gokce, I K and Faydali, S and Tanriverdi, S and Ozer, E and Celik, Y and Durukan, H and Caner, I and Genc, G and Aygun, C and Tosun, M and Yesilirmak, C and Erden, T and Aslan, Y and Mutlu, M and Aran, T and Kader, S and Bor, M and Ozkan, I and Hilali, N G and Hakyemez Toptan, H and Memur, S and Sari, S and Aydemir, C and Ekmen, S and Yurtcu, E and Sahin, S and Kanburoglu, M K and Gurlek, B and Oguz, B and Bozkurt, O and Yucesoy, E and Tunc, T},
title = {Iodine status of Turkish pregnant women and their offspring: A national cross-sectional survey.},
journal = {JOURNAL OF TRACE ELEMENTS IN MEDICINE AND BIOLOGY},
year = {2021},
volume = {63},
number = {63},
issn = {0946-672X},
doi = {10.1016/j.jtemb.2020.126664},
url = {https://akademik.atauni.edu.tr/yayinlar/224051-iodine-status-of-turkish-pregnant-women-and-their-offspring-a-national-cross}
}